Table 1.
Average drug cost (in US dollars) and markup by formulation and presence of the Affordable Medicines Facility – malaria (AMFm) logo
| Formulationa | Variable | Non-AMFm drugsb
|
AMFm ACTsc
|
||
|---|---|---|---|---|---|
| Adult | Child | Adult | Child | ||
| Artesunate-amodiaquine fixed-dose combination and co-blister | Overall average cost | $4.28 | $3.29 | $2.48 | $1.64 |
| Overall average markupd | N/A | N/A | 2.99 | 6.67 | |
| Average cost in Lagose | N/A | N/A | $2.34 | $1.60 | |
| Average markup in Lagosf | N/A | N/A | 3.06 | 8.33 | |
| Average cost in Accrag | $4.28 | $3.29 | $2.80 | $1.64 | |
| Average markup in Accrah | N/A | N/A | 2.83 | 6.25 | |
| Artemether-lumefantrine fixed-dose combination | Overall average cost | $4.40 | N/A | $2.31 | $2.01 |
| Overall average markup | N/A | N/A | 2.82 | 6.98 | |
| Average cost in Lagos | N/A | N/A | $2.45 | $2.24 | |
| Average markup in Lagos | N/A | N/A | 3.20 | 3.89 | |
| Average cost in Accra | $4.40 | N/A | $2.02 | $1.97 | |
| Average markup in Accra | N/A | N/A | 2.05 | 7.50 | |
| Dihydroartemisinin-piperaquine co-blister | Overall average cost | $3.29 | N/A | N/A | N/A |
| Average cost in Lagos | N/A | N/A | N/A | N/A | |
| Average cost in Accra | $3.29 | N/A | N/A | N/A | |
| Dihydroartemisinin monotherapy | Overall average cost | $2.50 | N/A | N/A | N/A |
| Average cost in Lagos | N/A | N/A | N/A | N/A | |
| Average cost in Accra | $2.50 | N/A | N/A | N/A | |
| Artesunate monotherapy | Overall average cost | $2.03 | N/A | N/A | N/A |
| Average cost in Lagos | $1.87 | N/A | N/A | N/A | |
| Average cost in Accra | $3.62 | N/A | N/A | N/A | |
Notes:
Artesunate-amodiaquine fixed-dose combination and co-blister, artemether-lumefantrine fixed-dose combination, and dihydroartemisinin-piperaquine co-blister are ACTs;
collected antimalarial drugs lacking an AMFm logo on packaging;
collected antimalarial drugs displaying an AMFm logo on packaging;
no markup data available for antimalarial drugs lacking an AMFm logo on packaging;
cost based on conversion rate of USD 1 = NGN 156.5;
markup based on expected price of NGN 120 per adult course and NGN 30 per child course (NGN 90 was used for the one child course of 18 pills per pack);
cost based on conversion rate of USD 1 = GHS 1.52;
markup based on expected price of GHS 1.5 per adult treatment and GHS 0.40 per child treatment.
Abbreviations: ACTs, artemisinin-based combination therapies; GHS, Ghanaian cedi; N/A, not applicable; NGN, Nigerian naira; USD, US dollars.